8 results
68y · Male·Aspiration pneumonia (due to cerebral palsy and dysphagia)
Dana John Walter, 68, died of aspiration pneumonia following cerebral palsy and severe dysphagia. He was readmitted to hospital on 11 August 2020 with acute respiratory distress three days after discharge. Despite thicke…
76y · Female·Ludwig's angina
A 76-year-old woman with Ludwig's angina presented to urgent care with facial swelling and fever. She was appropriately diagnosed and arrangements made for transfer to a tertiary centre. However, staff failed to recognis…
67y · Male·respiratory failure with antecedent causes including chronic emphysematic lung d…
67-year-old male with 40-year smoking history presented with chest symptoms in 2012. CT scan revealed a left upper lobe mass. Core biopsy was incorrectly reported as adenocarcinoma by the pathologist, despite clinical un…
76y · Male·multiple organ failure due to large volume aspiration of gastric contents during…
Maurice Nancarrow, 76, died from multiple organ failure following aspiration of gastric contents during anaesthetic induction for cystoscopy on 15 August 2015. He had undergone colorectal surgery on 30 July with complica…
<1y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…
Elsie Robertson was a preterm neonate born at 30 weeks gestation from a monochoroidal diamniotic twin pregnancy complicated by Twin-to-Twin Transfusion Syndrome (TTTS) treated with laser photocoagulation at 23 weeks. She…
66y · Male·legionella pneumophila pneumonia
A 66-year-old man with multiple myeloma undergoing chemotherapy died from legionella pneumonia acquired from the Wesley Hospital water system. He was immunocompromised due to chemotherapy and corticosteroids, making him …
1y · Male·Parainfluenza, pneumonitis and asthma; haemorrhagic mucositis of the bowel and g…
Tyler Di Blasi, aged 14 months, died from complications of acute lymphoblastic leukaemia (ALL) treatment. He developed parainfluenza pneumonitis, severe asthma, chemotherapy-induced neutropenia, thrombocytopenia, and gas…
58y · Male·adenocarcinoma of the right lung
Barry John Hockey, a 58-year-old prisoner, died of advanced lung adenocarcinoma with metastatic disease and acute bronchopneumonia while in the Princess Alexandra Hospital Secure Unit. He presented in November 2007 with …
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